Individual provider Active NPI

Christopher George Graham, LCSW

  • Clinical Social Worker
  • McAlester, OK
National Provider Identifier
1154790954
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5604 Issued in OK
Practice address
1305 S 5TH St
McAlester, OK 74501-6815
Phone
(225) 290-3559
Fax
(918) 420-5087
NPI assigned
Sep 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LA
Clinical Social Worker 1041C0700X 5604 OK Primary

Addresses

Primary practice location

1305 S 5TH St
McAlester, OK 74501-6815

Mailing address

1305 S 5TH St
McAlester, OK 74501-6815
Phone (225) 290-3559

Other identifiers 1

IdentifierTypeStateIssuer
200301620MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161221001867 OK Practitioner - Clinical Social Worker 7113208661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massey Counseling and ConsultingGroup PAC ID 9032490578, 4 clinicians

Practice addresses (Care Compare)

1101 E Washington Ave
McAlester, OK 74501-4919
Phone (918) 420-5006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5604OKMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Massey Counseling and Consulting CurrentSince Dec 1, 2016 Accepting new patients
C Graham LCSW LLC CurrentSince Jan 29, 2023 Accepting new patients

Locations

1101 E Washington Ave
McAlester, OK 74501
Phone (918) 420-5006

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1154790954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S 5TH ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745016815",
            "telephone_number": "225-290-3559",
            "fax_number": "918-420-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S 5TH ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745016815",
            "telephone_number": "225-290-3559",
            "fax_number": "918-420-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CHRISTOPHER",
        "middle_name": "GEORGE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-22",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200301620",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.